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Dr. Pradeep Vyavahare

Urologist, kalyan

Dr. Pradeep Vyavahare Urologist, kalyan
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Pradeep Vyavahare
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Lybrate.com has a nexus of the most experienced Urologists in India. You will find Urologists with more than 34 years of experience on Lybrate.com. Find the best Urologists online in kalyan. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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My husband age -36 years is facing problem while urinating after waking up in the morning. He is having pain in lower abdomen. After drinking 1-2 ltrs. Of water also he is not able to urinate. We went to a general physician he suggested for a urine R/E test and gave 2-3 medicins but after taking that dose he is not having much relief. What may be the cause?

BHMS, MBA (Healthcare)
Homeopath, Hubli-Dharwad
My husband age -36 years is facing problem while urinating after waking up in the morning. He is having pain in lower...
In a whole day what is output of urine if it is less then 400 ml of output in 24 hours it is called as oliguria. Causes for it may be dehydration, infections such as UTI, urinary tract obstruction because of some stones, enlargment in and around bladder region, use of certain medications such as NSAids, some high blood pressure medications etc.
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Rt uppere ureter have 6.2mm stone another 6.5 mmstone in lower calyx what should be done. Two days prior to sonography report it was bleeding in urine, and continues vomiting was there with pain in kidney and lower area,

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear firstly one has to tackle right upper you stone which is small enough to pass down along with urine. One has to give little help so that it comes out with least pain and much more quickly. For that 1 take tab. Drotaverine hydrochoride 80 mg in mornibg with it tab. Lasilectone 50 mg in morning. If there is pain do not tale lasilectone and if there is pain doverine should be taken four times day for five days diurtic regimn I have suggest should taken for 20 days with 110 days holidays repeat for three months and check usg. If the stone has passed out stop the medications. At the same time it is imperative to find out the underlying cause of stone formation. Lower caliceal sone can come down similarly in due course of time
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I am male 19 years old I am having burning sensation while urinating for the past few months. What shall I do?

Doctor of Medicine
General Physician, Surat
I am male 19 years old I am having burning sensation while urinating for the past few months. What shall I do?
Drink more water and no needs to worry about this even if the symptoms are persistence then you need to go for clinical examination.
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I have plies problem and swellings in anus outside. Sometimes blood in toilet. I have take so many medicine then blood are stop but swelling issue in still. May need an operation otherwise medicine remove them the swelling. Pls help me what I do.

PDDM, MHA, MBBS
General Physician, Nashik
I have plies problem and swellings in anus outside. Sometimes blood in toilet. I have take so many medicine then bloo...
If you are having piles and bleeding, it may be due to constipation or damage of anal mucosa due to hard stools. I would suggest you sitz bath: take hot water in a tub and add betadine solution, cover your anal area and sit for 15-20 minutes twice a day if possible thrice a day. It will reduce bleeding and helpful for healing. Wash the anal area with mild soap, pat dry and apply the lignocaine jelly after bowel movement and at bedtime. Liquid cremaffin plus 2 tsp twice a day. You should prevent constipation by eating healthy food, which contains fiber. Avoid spicy, fatty, heavy meals and meat. Avoid smoking if you smoke. If your symptoms persist, I would suggest you visit a general surgeon for clinical and physical examination to know about degree of hemorrhoids. Treatment (medical or surgical) can be decided by surgeon. Hope I have answered your query. If you have any queries, I will be happy to help you. Thank you.
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Sir I am 22 year old, I have some problems to passing the stool, and I feel my stomach fully loaded, and some time pain in my rectum, before some bleeding 1 to 5 drop approximately passing to stool, a homeopathic doctor suggested me ramdev baba medicine devyi arshkalpvati tablets taking two times in a day. Now some time I not found bleeding, but I feel pain and discomfort in anal. So please suggest me what I do next?

FMAS, MS
General Surgeon, Gandhinagar
Sir I am 22 year old, I have some problems to passing the stool, and I feel my stomach fully loaded, and some time pa...
Respected lybrate-user hi avoid oily spicy nonveg. Have more liquids green leafy veg fiber fruits curd for better digestion. Triphla tab 2 tab at night for 10 days. Apply xylocaine (5) jelly over anal part after passing stool & after sitting in sitz bath (sitting in tub filled with leuk warm water for 10-10 min mor & eve) consult later if problem dear thanks regards.
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Know About Laser Prostate Surgery

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Know About Laser Prostate Surgery

One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.

1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections

There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.

Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:

1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys

Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.

1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.

2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.

More men now opt for laser prostate removal as it has the following advantages:

1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
2. No hospitalization: This can be done either as an outpatient or with minimal one day stay at the hospital
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.

As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery.

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My father is Bed ridden, he was getting fever from past three four days, yesterday in his routine check-up every thing was fine except his urine culture is shows urine infection. Kindly suggest some medicine and precaution to be taken for.

MD - Homeopathy, BHMS
Homeopath, Palakkad
My father is Bed ridden, he was getting fever from past three four days, yesterday in his routine check-up every thin...
Taking antibiotics will create more side effects. You can choose homoeopathic medicines for uti which can give better results within short period of time. 100% results. If you have any doubts please be free with consult.
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Can chronic kidney disease be be arrested and is there any restriction of water intake or protein intake which may reduce the intensity?

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
Can chronic kidney disease be be arrested and is there any restriction of water intake or protein intake which may re...
Eating food or Drinking water does not harm the kidneys. Similarly starving does not correct weak kidneys. Protein restriction includes actually to increase class one proteins like nonveg or paneer to maintain health. Water is restricted if swelling of feet or less urine output.
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Urinary (Renal/Kidney) Stones Facts

BHMS
Homeopath, Delhi
Urinary (Renal/Kidney) Stones Facts

Many theories and as many reasons are given, but in most of the cases, cause of stone formation in the kidneys is not clear. Biochemical dysfunction seems to be the only possible explanation. Stones generally develop very slowly. Tendency to stone formation may be hereditary.

Stones may vary in size from sand particles to large stone. Urinary stones may be present for many years and may give rise to no symptoms. When a stone obstructs the urinary passage, mild pain to severe renal colic occurs. There may be restlessness, sweating, pallor, vomiting, frequent urination, blood in urine etc during pain. Attack of pain may last few hours to few days, varying in severity time to time. In many cases, urinary infection is a common occurrence.

Homeopathic treatment plan comprises of:

  1. Ultrasonography at regular interval of three to four months to monitor 
    • The size of the stone and 
    • Movement of the stone along the urinary passage.
  2. Kidney function tests should be done to evaluate the function of kidneys.
  3. Urine examination may be helpful to treat the accompanying urinary infections.
  4. Parathyroid hormone essay and serum calcium level should be considered if the stone formation is recurrent.

Homeopathic Approach 

  1. It is a well-known fact that some stones can pass naturally. But often they may cause severe pain and at times obstruction. But with homeopathic treatment, even moderate sized stone can pass absolutely painlessly.
  2. Though the use of painkillers and antispasmodics can relieve the pain and spasm, but in the process can actually hamper or suspend the onward and outward movement of the stone. With homeopathic treatment, body's natural reactions are stimulated that helps throw out the stone without much discomfort. 
  3. At times, it is seen that with homeopathic treatment stones gradually dissolve into sand particle s and get eliminated from the urinary system without being aware of it. This can be monitored by subsequent Ultrasonograms watching the gradual reduction in the size of the stones. 
  4. As stone formation is just a bye-product of body's biochemical dysfunction at deeper levels, only removal of the stone by natural or surgical means is not enough. Homeopathic treatment not only removes the stone, but can also modify the tendency to form stones by improving body's natural balance in general, and biochemical dysfunction in particular. 
  5. In bilateral, multiple and recurrent stones, constitutional homeopathic treatment is far-more superior than surgery or any other therapy as it has the potential to help the body, not only throw the stone out but also improve the biochemical dysfunction to check the recurrence of stone formation. 
  6. Surgery can be helpful only when the size of the stone is very large and causing damage to kidney by back- pressure. Even then, homeopathic treatment is of significant importance to improve the basic biochemical defects. 
  7. Constitutional Homeopathic treatment can also help avert the complication of surgery. 
  8. With constitutional homeopathic treatment, accompanying urinary infections are also relieved. 
  9. AND, the added advantage is that with constitutional homeopathic treatment, general health also improves.

Dietary Restrictions :

  1. Large number of dietary "take and avoid" is known to the masses, but their role is doubtful. With good constitutional homeopathic treatment and proper monitoring by ultrasography, dietary restrictions are not mandatory.
  2. Increased amounts of fluid intake are advisable. If you wish to discuss about any specific problem, you can consult a homeopath and ask a free question.
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I am 21 yrs female suffering from painful urination since 6 months. There is no other effects like fever and abdominal pain. It occurs continuously everyday when I stop intaking of water for a while also. I have to drink more and more water for every 10 minutes if not painful urination occurs. Please suggest some solution.

MBBS
General Physician,
I am 21 yrs female suffering from painful urination since 6 months. There is no other effects like fever and abdomina...
You might be having urinary tract infection. You need to do urine examination for r/m/e along with blood glucose. Drink plenty of water daily. Wash your genitalia every time after urinating. Never hold your urge to urinate, as soon you feel to urinate - do it. Cranberry juice is helpful. Maintain hygiene and clean sanitation practises. Hope that solve your query.
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Hello doctors, I have been suffering from anal fissure for about 2 months. Can anyone suggest me some medicine so that it get cured quickly. There is no bleeding from the fissure. But still it was not cured. Kindly suggest me a solution.

MS - General Surgery, MBBS
General Surgeon, Delhi
Anal fissure needs surgery for permanent cure. Meanwhile you can have nitroglycerine ointment for local application.
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I am feeling very much pain near rectum opening area. Kind of extra skin flesh appearing when I touch. Too much of itching and pain while riding bike cause of heat.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi it seems sentinel skin tag. Avoid prolonged driving presently. Avoid oily spicy nonveg stuffs. Avoid hard stools. Have more liquids green leafy veg fiber fruits. Apply xylocaine (5) jelly over anal part after passing stool & sitz bath (sitting in tub filled with leuk warm water 10-10 min mor & eve). Consult later if problem dear thanks regards.
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I had a anal fissure one year ago. I took patanjali medicine. Now its fine, but sometimes I feel little prick in my anus for 1-2 days. Pls suggest me caution and permanent treatment for this.

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Dear lybrate-user. If this problem is troubling you too frequently than the permanent treatment is a small surgery ie lateral sphincterotomy which will decrease the anal tone. It will stop the recurrence as the main cause of recurrence is increased anal tone and constipation. You can contact me if you have more queries.
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There is a slight irritation in the urinal passage since past few weeks. Already tried lots of water and lemon shots. Any other solution?

MBBS
General Physician, Faridabad
There is a slight irritation in the urinal passage since past few weeks. Already tried lots of water and lemon shots....
take tab norflox 400 1tab bd for 20 days, syrup alkasyp i tsf tds, lot of water, go for u/s kub back with report.
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My cousin is pregnant now . She is having UTI and albumin 2+? Any complications will be arises ?

Post Graduate Diploma in Echocardiography, Mbbs
General Physician, Ernakulam
My cousin is pregnant now . She is having UTI and albumin 2+? Any complications will be arises ?
Dearlybrater be careful about albumin in urine. Is in her middle of pregnancy. Check her bp. And please let me know.
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My mom is suffering with chills and fever with frequent urination and burning sensation while passing urine, she is 68 yrs old and is a long term diabetes patient on insulin.

MBBS
General Physician, Mumbai
It seems your mom is having urinary tract infection so start with tb norflox 400 mg twice a day for one strip and make sure sugar is under control.
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I am 48 years male. I am suffering very frequently urinal problem. So I have to urinate. So advice me.

MBBS
General Physician,
I am 48 years male. I am suffering very frequently urinal problem. So I have to urinate. So advice me.
frequent urination the underlying causes may be UTI or irinary tract infection or you shoul RX get your blood sugar level checked up to eliminate glycosuria or diabetes. so you should get your irine a mm d blood sugar level checked up. and consult a medical specialist. with reports.
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I am getting toilet just after drinking water within 10 minutes for the first time and next within 1/2 hour. So let me know whether there is problem in my kidney. Please help me in this regard.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I am getting toilet just after drinking water within 10 minutes for the first time and next within 1/2 hour.
So let m...
Toilet after drinking water after 10 min & 1/2 hr is due to back force water it is mainly occurres due to improper functins of intestines Long term effect also affect kidney as urine has to pass kidney.
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I am 52 years old female, my problem is I can't sleep properly, once I go to bed I feel I will not be able to sleep and then I start getting a strange feeling in my legs, and I get fake urges of urination. Can you help?

MBBS
General Physician, Cuttack
I am 52 years old female, my problem is I can't sleep properly, once I go to bed I feel I will not be able to sleep a...
1.You may be having anxiety or stress. Avoid stress. 2.You need 7-8 hours of sound sleep to remain healthy. 3.Go for regular exercise, Take part in games and sports, 4.Do yoga, meditation and deep breathing exercise like pranayama to calm your mind, control your emotion, relieve anxiety and improve concentration. 5.Adhere to a specific sleep time and regular schedule 6.Take light dinner. 7.Avoid taking tea/coffee at bed time. Have a glass of warm milk at bed time .8. Don’t go to sleep immediately after dinner. Take a small walk after dinner and if possible take hot water bath before sleep. Read a light magazine or interesting book before going to bed 9. Avoid late night. 10. Don’t sleep in day time 11. Don’t take sleeping pill 12. If no relief consult doctor.
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My age is 57. I find a change in my urination on a daily basis. Looks like the pressure has decreased and also feel like urinating at short intervals but the quanity is small. Do I have any problem or is it age related ? Can this be corrected ? Please advise. Many thanks.

MBBS, MD - General Medicine
General Physician, Ahmedabad
Sir, if possible you can go for an abdominal ultrasound to look for bph (benign prostatic hypertrophy) or cystitis. Also go for a urine test- routine and microscopic examination and then consult your family physician
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